Opportunity Information: Apply for 72052018RFA00002

The Strengthening Care and Treatment Cascade Project is a USAID health funding opportunity designed to improve how five Central American countries (El Salvador, Guatemala, Honduras, Nicaragua, and Panama) deliver HIV care and treatment. The core goal is to strengthen each country s capacity to provide services that are high quality, sustainable over time, and centered on the needs of patients. A major emphasis is ensuring that HIV services are free of stigma and discrimination, so that people feel safe seeking care, starting treatment, and staying engaged in long term clinical follow up. The project focuses on practical improvements across the HIV care and treatment cascade, especially on enrolling people into care promptly and retaining them in treatment so that outcomes improve at the individual and population levels.

This opportunity was issued by the U.S. Agency for International Development (USAID), specifically USAID Guatemala City, under Funding Opportunity Number 72052018RFA00002. It is categorized as a discretionary grant opportunity and will be implemented through a Cooperative Agreement, which typically means the funder expects substantial involvement during implementation (for example, collaboration on planning, monitoring, and technical direction) rather than a hands off relationship. The activity category is Health, and the listing is associated with CFDA 98.001.

Eligibility is described as unrestricted, meaning the competition is broadly open to different types of organizations, as long as they meet any conditions that may be explained in the full notice under the additional eligibility information. The funding design indicates an anticipated single award, with an award ceiling of up to 15,000,000 dollars. The opportunity was created on November 30, 2017, and the original application closing date was January 16, 2018.

In practical terms, the project is aimed at strengthening systems and service delivery approaches that help countries move people smoothly through the HIV treatment continuum: getting diagnosed individuals enrolled into care, initiating effective treatment, and keeping patients retained and supported so they can remain on therapy. By prioritizing patient centered care and explicitly addressing stigma and discrimination, the opportunity signals a focus not only on clinical service quality but also on the social and behavioral barriers that often cause people to delay care or drop out of treatment. The intended result is stronger national and local capacity to run effective HIV programs that can sustain high performance beyond the life of the award.

  • The Agency for International Development, Guatemala USAID-Guatemala City in the health sector is offering a public funding opportunity titled "Strengthening Care and Treatment Cascade Project" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 98.001.
  • This funding opportunity was created on Nov 30, 2017.
  • Applicants must submit their applications by Jan 16, 2018. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $15,000,000.00 in funding.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Unrestricted (i.e., open to any type of entity above), subject to any clarification in text field entitled Additional Information on Eligibility.
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Frequently Asked Questions (FAQs)

What is the Strengthening Care and Treatment Cascade Project?

The Strengthening Care and Treatment Cascade Project is a USAID health funding opportunity focused on improving how HIV care and treatment are delivered in five Central American countries. It emphasizes practical, system-level and service-delivery improvements across the HIV care and treatment cascade, with a strong focus on patient-centered services and long-term sustainability.

Which countries are included in this project?

The project targets five Central American countries: El Salvador, Guatemala, Honduras, Nicaragua, and Panama.

What is the main goal of this funding opportunity?

The core goal is to strengthen each country’s capacity to provide HIV care and treatment services that are high quality, sustainable over time, and centered on patient needs. A key emphasis is enabling people to safely seek care, start treatment, and remain engaged in long-term clinical follow-up.

What does “care and treatment cascade” mean in the context of this opportunity?

In this opportunity, the HIV care and treatment cascade refers to the practical steps needed to move people smoothly through HIV services, including enrolling diagnosed individuals into care promptly, initiating effective treatment, and retaining patients in ongoing treatment and clinical follow-up to support better outcomes.

What specific parts of the HIV cascade does the project emphasize?

The project particularly emphasizes enrolling people into care promptly and retaining them in treatment, since these steps strongly influence both individual health outcomes and population-level HIV control.

How does the opportunity address stigma and discrimination?

A major emphasis of the project is ensuring HIV services are free of stigma and discrimination so people feel safe seeking care, starting treatment, and staying engaged in long-term follow-up. The opportunity highlights stigma and discrimination as barriers that can cause delays in care or treatment drop-off.

What is meant by “patient-centered” HIV services in this opportunity?

Patient-centered services are described here as services designed around patient needs and experiences, with the intention of making it easier for individuals to enter care, begin treatment, and remain retained in care over time.

What outcomes is USAID aiming for through this project?

The intended result is stronger national and local capacity to run effective HIV programs that sustain high performance beyond the life of the award, alongside improved outcomes at both the individual and population levels.

Who is the issuing agency for this opportunity?

The issuing agency is the U.S. Agency for International Development (USAID), specifically USAID Guatemala City.

What is the Funding Opportunity Number (FON)?

The Funding Opportunity Number is 72052018RFA00002.

What type of grant is this categorized as?

It is categorized as a discretionary grant opportunity.

What is the planned award instrument for this opportunity?

The project is intended to be implemented through a Cooperative Agreement.

What does it mean that this will be a Cooperative Agreement?

A Cooperative Agreement typically indicates substantial involvement by the funder during implementation, such as collaboration on planning, monitoring, and technical direction, rather than a fully hands-off relationship.

What is the activity category for this funding opportunity?

The activity category is Health.

Is there a CFDA (assistance listing) number associated with this opportunity?

Yes. The listing is associated with CFDA 98.001.

How many awards does USAID anticipate making?

The opportunity indicates an anticipated single award.

What is the maximum funding amount (award ceiling)?

The award ceiling is up to $15,000,000.

Who is eligible to apply?

Eligibility is described as unrestricted, meaning the competition is broadly open to different types of organizations, as long as they meet any conditions described in the full notice under additional eligibility information.

Does “unrestricted eligibility” mean anyone can apply without conditions?

Not necessarily. The information provided states eligibility is unrestricted, but it also notes that applicants must meet any conditions that may be explained in the full notice under additional eligibility information.

When was this funding opportunity created?

The opportunity was created on November 30, 2017.

What was the original application closing date?

The original application closing date was January 16, 2018.

What kinds of improvements does the project focus on?

The project focuses on strengthening systems and service delivery approaches that help move people through the HIV treatment continuum, including timely enrollment into care, treatment initiation, and long-term retention and support.

Does the opportunity focus only on clinical service quality?

No. While it emphasizes high-quality clinical services, it also explicitly prioritizes addressing social and behavioral barriers, especially stigma and discrimination, that can prevent people from accessing care or staying on treatment.

Is sustainability an explicit goal of this opportunity?

Yes. A core goal is to strengthen country capacity so HIV services and program performance can be sustained over time, including beyond the life of the award.

What does “strengthening capacity” refer to in this project?

Based on the description provided, strengthening capacity refers to improving national and local ability to deliver effective HIV care and treatment services, operate programs at high quality, and sustain performance long term.

What is the broader purpose of improving enrollment and retention in HIV care?

Improving enrollment and retention is intended to improve outcomes for individuals receiving care and to improve population-level outcomes by keeping more people effectively treated and engaged in ongoing clinical follow-up.

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